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JOHN MICHAEL HORNE M.D.
NPI 1306166244
Internal Medicine - Infectious Disease in Omaha, NE

Active since June 02, 2010PECOS EnrolledAccepts Medicare Assignment
601 N 30TH ST STE 5800, OMAHA, NE 68131(402) 995-5219(402) 995-5219 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Michael Horne M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN MICHAEL HORNE M.D. (NPI 1306166244) is an individual infectious disease provider in Omaha, Nebraska, licensed in Nebraska (27344) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Chi Health St. Elizabeth, and is a graduate of Chicago College Of Medicine And Surgery (2010).

NPPES Registry Identity

NPI1306166244
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJOHN MICHAEL HORNECredential: M.D.
Location Address601 N 30TH ST STE 5800Omaha, NE 68131-2137
Mailing Address601 N 30th St Ste 5800Omaha, NE 68131-2137 · (402) 995-5219 · Fax (402) 995-5219
Phone(402) 995-5219
Fax(402) 995-5219
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2010
Enumeration DateJune 2, 2010
Last NPPES UpdateAugust 22, 2013
✔ NPI 1306166244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NE · 27344
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
601 N 30TH ST STE 5800, Omaha, NE 68131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Michael Horne M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002129269
PECOS Enrollment IDI20150716001620, I20200506001197
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
319 services131 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
122 services117 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services55 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
53 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Chi Health Immanuel

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280081
Location6901 North 72nd StOmaha, NE 68122 · Douglas County
Emergency services Birthing friendly

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280130
Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County
Emergency services Birthing friendly

Chi Health St. Mary's

Critical Access Hospitals · Nebraska City, NE
OwnershipVoluntary non-profit - Church
CMS Certification Number281342
Location1301 Grundman BlvdNebraska City, NE 68410 · Otoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY J GRIFFIN M.D.
Internal Medicine
601 N 30TH ST STE 5800
OMAHA, NE 68131
Douglas County (402) 280-4180
BRUCE L. HOUGHTON M.D.
Internal Medicine
601 N 30TH ST STE 5800
OMAHA, NE 68131
Douglas County (402) 280-4180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Horne's NPI number?

The NPI number for John Horne is 1306166244. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is John Horne located?

John Horne practices at 601 N 30th St Ste 5800, Omaha, NE 68131. The listed phone number is (402) 995-5219.

What is John Horne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is John Horne enrolled in Medicare?

Yes. John Horne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Horne accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list John Horne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Horne affiliated with any hospitals?

According to CMS data, John Horne is affiliated with Chi Health St. Elizabeth, Chi Health Bergan Mercy, Chi Health Immanuel, Chi Health Lakeside and Chi Health St. Mary's.

When was this NPI record last updated?

The NPPES record for John Horne was last updated on August 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.